Tinoco Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TINOCO DENTAL CORP

Doing business as

Rooted Dental Wellness

Practice address

1461 W Grand Ave Unit 3E
Grover Beach, CA 93433-2287

Phone

(805) 888-4259

Fax

(805) 888-2744

NPI assigned

Mar 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria Chavez

Title

Insurance Coordinator

Phone

(312) 752-5413

Specialties & licenses 1

Addresses

Other names 1

• Rooted Dental Wellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1740985605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 W GRAND AVE UNIT 3E",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332287",
            "telephone_number": "805-888-4259",
            "fax_number": "805-888-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 W GRAND AVE UNIT 3E",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332287",
            "telephone_number": "805-888-4259",
            "fax_number": "805-888-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINOCO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "312-752-5413"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Anthony Terrones, ATC
• Sean Terwilliger
• Maria Christina Thammasen
• Sandra S. Thomas, PH.D.
• Allyson N Thompson-Knox, LMFT
• Roberto Estevan Tinoco, D.D.S.
• Sofia Torres
• Brittany Trimble
• Tullius Chiropractic & Pilates Center
• Stephen Tullius, DC

• General Practice Dentistry in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.